| NPI | 1881613552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH 16024) |
| Additional Taxonomies | 208800000X Urology (Licence: VT 042-00108010) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-07-27 |