| NPI | 1457545477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0067002) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD035464) |
| 208800000X Urology (Licence: VA 0101238173) | |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2021-06-11 |