| NPI | 1811949712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA 02426) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-071422) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-11-25 |