NPI | 1164726329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: GA 074034) |
Additional Taxonomies | 208800000X Urology (Licence: SC TL36566) |
2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC TL36566) | |
Enumeration Date | 2011-01-03 |
Last Update Date | 2023-03-09 |