NPI | 1053725077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MI 4301512682) |
Additional Taxonomies | 2865M2000X Military Hospital, Military General Acute Care Hospital (Licence: IN 01075743a) |
208600000X Surgery (Licence: PA MT206044) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2024-08-28 |