NPI | 1366753709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: UT 9683273-1204) |
Additional Taxonomies | 208800000X Urology (Licence: OH 34.011766) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2023-11-13 |