NPI | 1093058315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: PA MD473709) |
Additional Taxonomies | 208800000X Urology (Licence: MD D0085017) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2021-07-29 |