| NPI | 1720172059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0016283) |
| Additional Taxonomies | 208800000X Urology (Licence: CO 16283) |
| 208800000X Urology (Licence: VT 042.0012859) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-07-27 |