| NPI | 1780615377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101238658) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101238658) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-03-20 |