| NPI | 1841589132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NV 24207) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A123242) |
| 208800000X Urology (Licence: MA 272309) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2023-08-28 |