NPI | 1386700789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MD MD432669) |
Additional Taxonomies | 208800000X Urology (Licence: PA MT181482) |
208800000X Urology (Licence: DE pending) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2025-06-25 |