| NPI | 1952833006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD489767C) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME155624) |
| 208800000X Urology (Licence: TX V0782) | |
| 208800000X Urology (Licence: AL MD.37914) | |
| 208800000X Urology (Licence: KS 04-49422) | |
| 208800000X Urology (Licence: MI 4301511781) | |
| 208800000X Urology (Licence: NM MD2024-0588) | |
| 208800000X Urology (Licence: SC 91702) | |
| 208800000X Urology (Licence: IL 036.173592) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-06-04 |