| NPI | 1750352282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-22090) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 1009018482) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-03-07 |