NPI | 1013283472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MD AJ414735) |
Additional Taxonomies | 208800000X Urology (Licence: ID M-15541) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2023-10-05 |