NPI | 1568426914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NY 131302) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 131302) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2023-06-28 |