| NPI | 1992068829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301511864) |
| Additional Taxonomies | 208800000X Urology (Licence: OK 33940) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2024-08-26 |