NPI | 1326664384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA A199466) |
Additional Taxonomies | 208800000X Urology (Licence: MO 2020015987) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2025-07-01 |