NPI | 1255418885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: PA MD068011L) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD068011L) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-01-12 |