| NPI | 1649896317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301514892) |
| Additional Taxonomies | 208800000X Urology (Licence: OK 35938) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-09-26 |