NPI | 1457083743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101283602) |
Additional Taxonomies | 208800000X Urology (Licence: NY P114715) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2024-08-19 |