| NPI | 1689632697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 73947) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 29560) |
| 208800000X Urology (Licence: VA 0101058950) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-10-20 |