| NPI | 1922156181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101267017) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2011-00424) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2023-07-17 |