NPI | 1194785642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: OH 35.097897) |
Additional Taxonomies | 208800000X Urology (Licence: CT 47702) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2019-08-14 |