NPI | 1124077508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NE 23123) |
Additional Taxonomies | 208800000X Urology (Licence: KY 46605) |
208800000X Urology (Licence: TN 50936) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2020-12-04 |