NPI | 1366885451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: DE C1-0013711) |
Additional Taxonomies | 208800000X Urology (Licence: CA A160936) |
208800000X Urology (Licence: PA MD455613) | |
208800000X Urology (Licence: NJ 25MA12170700) | |
Enumeration Date | 2013-04-09 |
Last Update Date | 2024-04-25 |