| NPI | 1851885818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA MD-55103) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2018018699) |
| 208800000X Urology (Licence: MN 74414) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-09-20 |