NPI | 1548261860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: KS 04-31784) |
Additional Taxonomies | 208800000X Urology (Licence: MO 2008025048) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2018-03-17 |