| NPI | 1386037638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-48463) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: SC 84009) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-12-29 |