| NPI | 1588225254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL 54570) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 29857) |
| 208800000X Urology (Licence: MN 68020) | |
| 208800000X Urology (Licence: TN 70666) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2026-09-02 |