| NPI | 1801866280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD437028) |
| Additional Taxonomies | 208800000X Urology (Licence: HI MD - 6828) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-07-02 |