NPI | 1104920511 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MN 50675) |
Additional Taxonomies | 208800000X Urology (Licence: KS 26795) |
208800000X Urology (Licence: AZ 33311) | |
Enumeration Date | 2006-09-08 |
Last Update Date | 2011-12-20 |