| NPI | 1629144977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: DC MD31268) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101058390) |
| 208800000X Urology (Licence: MD D0054075) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-01-26 |