NPI | 1578728507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: ND 16732) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0102204338) |
208800000X Urology (Licence: VT 032.0107285) | |
208800000X Urology (Licence: WV 2483) | |
208800000X Urology (Licence: NY 281091) | |
208800000X Urology (Licence: IN 02006181A) | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2022-06-09 |