| NPI | 1467689919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL 36716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-240268) |
| 208800000X Urology (Licence: TX Q7040) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2023-06-29 |