NPI | 1205987500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: NC 2008-00910) |
Additional Taxonomies | 208800000X Urology (Licence: MD D0064034) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2021-04-01 |