NPI | 1497133300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: FL ME158626) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051297546) |
208600000X Surgery (Licence: IL 125071763) | |
Enumeration Date | 2015-05-12 |
Last Update Date | 2023-04-28 |