NPI | 1396726394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NC 2007-01720) |
Additional Taxonomies | 208800000X Urology (Licence: FL ME81837) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2021-03-08 |