| NPI | 1427152511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA08009800) |
| Additional Taxonomies | 208800000X Urology (Licence: DE C10006833) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2024-01-22 |