NPI | 1538668108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: SC 88808) |
Additional Taxonomies | 208800000X Urology (Licence: UT 11405619-1205) |
Enumeration Date | 2018-02-08 |
Last Update Date | 2023-05-31 |