| NPI | 1881012722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0064844) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0086257) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-05-27 |