NPI | 1225025174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA05567600) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA05567600) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2022-03-07 |