| NPI | 1821043811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME53505) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME53505) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-04-01 |