| NPI | 1750475638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-33920) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 49310-020) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-07-18 |