NPI | 1114424306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OH 35.150603) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD61408687) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2024-05-31 |