NPI | 1306909338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MD D0057592) |
Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: DC MD5012) |
163WU0100X Registered Nurse, Urology (Licence: VA 0101038308) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2009-10-20 |