| NPI | 1548482177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: WI 50274-020) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 50274) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-09-03 |