NPI | 1053579334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA A117082) |
Additional Taxonomies | 208800000X Urology (Licence: TX AO171708) |
208800000X Urology (Licence: NY 243288) | |
Enumeration Date | 2008-05-23 |
Last Update Date | 2021-12-15 |