NPI | 1356513014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD60762111) |
Additional Taxonomies | 208800000X Urology (Licence: NM MD2014-0118) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2020-08-13 |