| NPI | 1649314311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0066144) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101262638) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-08-12 |