| NPI | 1457842650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD217944) |
| Additional Taxonomies | 208800000X Urology (Licence: IA R-11208) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-06-19 |