NPI | 1407018575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA09245100) |
Additional Taxonomies | 208800000X Urology (Licence: PA MD445879) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2024-10-02 |