| NPI | 1972815348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 5101018622) |
| Additional Taxonomies | 208800000X Urology (Licence: MI L1783455) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2024-10-14 |