| NPI | 1427543156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 5101023939) |
| Additional Taxonomies | 208800000X Urology (Licence: TX U2604) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-03-01 |