| NPI | 1922272517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-36657) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2013027007) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2021-01-18 |