| NPI | 1790844181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WV 26606) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD60798311) |
| 208800000X Urology (Licence: IL 036076432) | |
| 208800000X Urology (Licence: IN 01041877) | |
| 208800000X Urology (Licence: IN 01041877A) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-01-10 |