| NPI | 1780916833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0053210) |
| Additional Taxonomies | 208800000X Urology (Licence: TX N7514) |
| 208800000X Urology (Licence: TX BP20022571) | |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2021-06-23 |