| NPI | 1982795985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME70713) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0070713) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-05-01 |