| NPI | 1689840928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0065346) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD035877) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2013-01-25 |