| NPI | 1861719528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH 18003) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2016-00956) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2020-07-10 |