| NPI | 1447399431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-33818) |
| Additional Taxonomies | 208800000X Urology (Licence: NM 2004-0457) |
| 208800000X Urology (Licence: MO 2009011507) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-02-28 |