| NPI | 1528598000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM MD2022-1153) |
| Additional Taxonomies | 208800000X Urology (Licence: OK 33150) |
| 208800000X Urology (Licence: CO DR.0069193) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-10-06 |