| NPI | 1427001460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 100312) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 100312) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-07-23 |