| NPI | 1508816869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME104791) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0063304) |
| 208800000X Urology (Licence: SC 38977) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-06-14 |