NPI | 1215932926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MI 4301073699) |
Additional Taxonomies | 208800000X Urology (Licence: MT 11268) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2011-05-03 |