NPI | 1396065223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MT 141791) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD61561040) |
208800000X Urology (Licence: ID M-16528) | |
Enumeration Date | 2010-06-02 |
Last Update Date | 2025-04-16 |