NPI | 1427528546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TN 20344) |
Additional Taxonomies | 208800000X Urology (Licence: TN 20344) |
Enumeration Date | 2018-12-01 |
Last Update Date | 2018-12-01 |