| NPI | 1366449464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35-06-0013-R) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35060013) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-03-24 |