NPI | 1497764104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: AL MD.38214) |
Additional Taxonomies | 208800000X Urology (Licence: MI 4301063259) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-07-24 |