| NPI | 1689822413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME114730) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125052815) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2020-09-17 |