NPI | 1528050895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: FL ME140736) |
Additional Taxonomies | 208800000X Urology (Licence: DC MD10133) |
208800000X Urology (Licence: MD D0020393) | |
Enumeration Date | 2005-08-22 |
Last Update Date | 2021-02-23 |