| NPI | 1659394112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ME 013860) |
| Additional Taxonomies | 208800000X Urology (Licence: TX V2376) |
| 208800000X Urology (Licence: MT 129289) | |
| 2088P0231X Urology, Pediatric Urology (Licence: ME 013860) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-10-08 |