NPI | 1356316228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: CA C42239) |
Additional Taxonomies | 174400000X Specialist (Licence: KS 04-26098) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2021-03-01 |