| NPI | 1396852786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH 11485) |
| Additional Taxonomies | 208800000X Urology (Licence: VT 0420010357) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-09-06 |