| NPI | 1871676163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301085671) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301085671) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-05-13 |