NPI | 1447630637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: PA OS021040) |
Additional Taxonomies | 208800000X Urology (Licence: CT 064946) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2022-04-28 |