NPI | 1356336382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD00029981) |
Additional Taxonomies | 208800000X Urology (Licence: NM MD2013-0026) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2013-03-07 |