NPI | 1053653501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OH 35.139169) |
Additional Taxonomies | 208800000X Urology (Licence: IL 125063816) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2021-09-15 |