| NPI | 1952745788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME154296) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 29934) |
| 208800000X Urology (Licence: IL 036.147345) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2023-06-07 |