NPI | 1265524623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MI 4301056120) |
Additional Taxonomies | 2088P0231X Urology Pediatric Urology (Licence: MI 4301056120) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2023-11-27 |