NPI | 1063411361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: LA MD.04535R) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 04535R) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2009-11-19 |