| NPI | 1548284441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 30009) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0070083) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-04-10 |