| NPI | 1457443251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO CDR.0001535) |
| Additional Taxonomies | 208800000X Urology (Licence: MT 35796) |
| 208800000X Urology (Licence: ND 18075) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-04-17 |