NPI | 1164457198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: LA MD07209R) |
Additional Taxonomies | 208800000X Urology (Licence: WV 16322) |
208800000X Urology (Licence: KY 28473) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2013-07-15 |