NPI | 1194105379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101275139) |
Additional Taxonomies | 208800000X Urology (Licence: TX S6896) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2022-07-01 |