| NPI | 1982682084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101036358) |
| Additional Taxonomies | 208800000X Urology (Licence: DE C1-0012755) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-12-29 |