| NPI | 1598851503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ND 12985) |
| Additional Taxonomies | 208800000X Urology (Licence: ND PT12985) |
| 208800000X Urology (Licence: UT 7577061-1205) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-04-16 |