NPI | 1366608630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: NC 201100924) |
Additional Taxonomies | 208800000X Urology (Licence: TN 44906) |
208800000X Urology (Licence: IL 036116617) | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2021-04-01 |