| NPI | 1841413275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME87760) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 43250) |
| 208800000X Urology (Licence: MD D90655) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-02-19 |