| NPI | 1457589327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL MD.45541) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL31995) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-04-08 |