NPI | 1164458782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101256473) |
Additional Taxonomies | 208800000X Urology (Licence: MO 2012009848) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2022-06-02 |