| NPI | 1598817157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 0436673) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 49171-020) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-01-28 |