| NPI | 1639229016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 13145316-1235) |
| Additional Taxonomies | 208800000X Urology (Licence: OK 23571) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-10-24 |