NPI | 1376830976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MA 263208) |
Additional Taxonomies | 208800000X Urology (Licence: CA C187202) |
208800000X Urology (Licence: NY 276506) | |
Enumeration Date | 2011-07-01 |
Last Update Date | 2023-10-05 |