| NPI | 1740668318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: DE C1-0027410) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MT208800) |
| 208800000X Urology (Licence: PA MD463126) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-11-22 |