| NPI | 1881919785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME147488) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0054978) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2022-06-09 |