| NPI | 1487693156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35036788A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35036788) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-05-06 |