| NPI | 1528026986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD036948E) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0044297) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-10-08 |