| NPI | 1497764104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL MD.38214) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME174489) |
| 208800000X Urology (Licence: MI 4301063259) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-10-07 |