| NPI | 1861610925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0045740) |
| Additional Taxonomies | 208800000X Urology (Licence: MI L998183) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-05-22 |