| NPI | 1962475178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME64626) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME64626) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-10-15 |