| NPI | 1477655090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0040017) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 40017) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2025-04-11 |