| NPI | 1851399414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35043064P) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35-043064) |
| 208800000X Urology (Licence: OH 35043064) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2014-03-17 |