| NPI | 1538272570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME170180) |
| Additional Taxonomies | 208800000X Urology (Licence: CO 38899) |
| 208800000X Urology (Licence: CO DL38899) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-11-07 |