| NPI | 1346771151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2024013586) |
| Additional Taxonomies | 208800000X Urology (Licence: OR MD207313) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-04-15 |