| NPI | 1558314484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME137242) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2010-01458) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-11-14 |