NPI | 1134352115 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: PA MD470357) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0101264216) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2020-08-17 |