NPI | 1134387343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA08918500) |
Additional Taxonomies | 208800000X Urology (Licence: NY 243052) |
208800000X Urology (Licence: PA MD439342) | |
Enumeration Date | 2008-05-26 |
Last Update Date | 2022-10-07 |