NPI | 1003090382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CO 0056872) |
Additional Taxonomies | 208800000X Urology (Licence: FL ME101754) |
Enumeration Date | 2007-12-22 |
Last Update Date | 2017-01-06 |