| NPI | 1831198118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 98929) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD424055) |
| 208800000X Urology (Licence: IL 036116610) | |
| 208800000X Urology (Licence: TN 58220) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2025-06-11 |