NPI | 1417065848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OR MD09630) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD00034648) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2012-10-16 |