NPI | 1134626153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MD D99516) |
Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA11792900) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2025-03-12 |