| NPI | 1902865116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 34692) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301512350) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2024-06-27 |