| NPI | 1548282007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME0093308) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME93308) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-03-18 |