NPI | 1447513353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101264201) |
Additional Taxonomies | 208800000X Urology (Licence: MN 56726) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2019-06-12 |