| NPI | 1841346871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VT 042.0012951) |
| Additional Taxonomies | 208800000X Urology (Licence: NE 23990) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-09-09 |