| NPI | 1780046946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 68414) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A175833) |
| 208800000X Urology (Licence: IL 125.068359) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-07-05 |