NPI | 1578769907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NY 267736) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208800000X Urology (Licence: OR MD172494) | |
Enumeration Date | 2007-06-22 |
Last Update Date | 2015-06-17 |