NPI | 1053573659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: KY 51926) |
Additional Taxonomies | 208800000X Urology (Licence: WI 61525) |
208800000X Urology (Licence: KY TP713) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2021-01-29 |