| NPI | 1366707242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-46994) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 63954) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IA MD-46994) | |
| 208800000X Urology (Licence: IL 125-061212) | |
| 208800000X Urology (Licence: WI 69978) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2020-09-16 |