| NPI | 1851402572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101034439) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 4834367-8905) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-05-17 |