NPI | 1053365767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: FL ME108495) |
Additional Taxonomies | 208800000X Urology (Licence: MD D62856) |
208800000X Urology (Licence: TX m3052) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2011-08-29 |