| NPI | 1477526671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0019928) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME0019928) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-03-09 |