NPI | 1174529309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA A56059) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A56059) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2020-06-23 |