| NPI | 1437505518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD H90916) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0102207113) |
| 208800000X Urology (Licence: PA OT016977) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2026-01-07 |