NPI | 1487869996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OR MD28198) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD60003290) |
208800000X Urology (Licence: OR LL16353) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2025-09-08 |