NPI | 1114999851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: GA 062966) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0101254296) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2023-07-21 |