NPI | 1306912746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: PA MD431027) |
Additional Taxonomies | 208800000X Urology (Licence: NY 216290) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2023-02-07 |