| NPI | 1992762892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OK 35782) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036101573) |
| 208800000X Urology (Licence: IL 036-101573) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-11 |