NPI | 1346216710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: PA MD040687E) |
Additional Taxonomies | 208800000X Urology (Licence: NJ MA05101600) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2018-11-21 |