NPI | 1568521706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: DC MD10220) |
Additional Taxonomies | 208800000X Urology (Licence: MD D0018842) |
208800000X Urology (Licence: VA 0101034294) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-05-19 |