NPI | 1275632200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX H6910) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: TX H6910) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2014-07-30 |