| NPI | 1952366916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35040438G) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35040438) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-10-09 |