| NPI | 1992900526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: DC MD040765) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D74443) |
| 208800000X Urology (Licence: NC 2010-00753) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-08-18 |