| NPI | 1770524951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.049715) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35049715C) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-10-07 |