| NPI | 1457597833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO 48535) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP20022570) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2021-06-04 |