| NPI | 1588611149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0032603) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 32603) |
| 208800000X Urology (Licence: UT 10352654-1205) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-07-27 |