| NPI | 1477581155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME43001) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0043001) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-04-07 |