NPI | 1396987921 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD61093214) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208800000X Urology (Licence: IN 01080197A) | |
Enumeration Date | 2009-03-27 |
Last Update Date | 2020-11-18 |