NPI | 1215900303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD60194935) |
Additional Taxonomies | 208800000X Urology (Licence: IN 01053155A) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2020-11-12 |