| NPI | 1598921546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM MD2021-0606) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301060876) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-06-30 |