| NPI | 1518075936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.061360) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35061360) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2022-01-07 |