| NPI | 1730117730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME156736) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 32682) |
| 208800000X Urology (Licence: IA MD-46876) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-07-28 |