| NPI | 1447455134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0052818) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2009-01627) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2019-08-22 |