| NPI | 1598975641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX R1160) |
| Additional Taxonomies | 208800000X Urology (Licence: FL OS12930) |
| 208800000X Urology (Licence: VT 032.0097458) | |
| 208800000X Urology (Licence: MI 5101019084) | |
| 208800000X Urology (Licence: IN 02003208A) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-02-10 |