NPI | 1316935638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: SD 9355) |
Additional Taxonomies | 174400000X Specialist (Licence: OR MD13162) |
208800000X Urology (Licence: SD 1459) | |
208800000X Urology (Licence: ND LT19814) | |
Enumeration Date | 2005-10-11 |
Last Update Date | 2023-06-15 |