| NPI | 1386645000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0008738) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0008738) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2016-09-21 |