NPI | 1164428140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101248303) |
Additional Taxonomies | 208800000X Urology (Licence: NC 96-00428) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2012-07-10 |