NPI | 1124218664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX U0488) |
Additional Taxonomies | 208800000X Urology (Licence: MN 61070) |
208800000X Urology (Licence: AR e-10949) | |
2088P0231X (Licence: MA 274247) | |
2088P0231X (Licence: ND 12523) | |
2088P0231X (Licence: OH 57.012388) | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2023-11-28 |