NPI | 1396943114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: OH 35.125529) |
Additional Taxonomies | 208600000X Surgery (Licence: ME 233665) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2024-04-01 |