NPI | 1083823785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX Q0209) |
Additional Taxonomies | 208800000X Urology (Licence: PA MD453417) |
208800000X Urology (Licence: MT MED-PHYS-LIC-34911) | |
208800000X Urology (Licence: FL ME115344) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2015-04-22 |