NPI | 1083711121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NM MD2008-0654) |
Additional Taxonomies | 208800000X Urology (Licence: PA MD071992L) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-08-11 |