| NPI | 1992186407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ME MD24190) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-264241) |
| 208800000X Urology (Licence: MA 283315) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-10-11 |