| NPI | 1457315301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 60976) |
| Additional Taxonomies | 208800000X Urology (Licence: OK 18095) |
| 208800000X Urology (Licence: HI 16183) | |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2023-11-13 |