| NPI | 1356324669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0069785) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01081847A) |
| 208800000X Urology (Licence: NM MD2007-0640) | |
| 208800000X Urology (Licence: FL ME98814) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2022-11-14 |