| NPI | 1891895538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35075840) |
| Additional Taxonomies | 208800000X Urology (Licence: MI EMC0007639) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2025-10-13 |