| NPI | 1407808991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0052019) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0052019) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-04-23 |