NPI | 1245335553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: DE C1-0002763) |
Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA05103800) |
208800000X Urology (Licence: PA MD025610E) | |
Enumeration Date | 2006-09-13 |
Last Update Date | 2018-08-27 |