| NPI | 1932113743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0072971) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 6240562-1205) |
| 208800000X Urology (Licence: AZ 75256) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-12-04 |