NPI | 1477788974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: FL ME120277) |
Additional Taxonomies | 208800000X Urology (Licence: PA MT195582) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195582) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2016-10-12 |