NPI | 1588193320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MA 1018427) |
Additional Taxonomies | 208800000X Urology (Licence: SC 55137) |
2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4351048863) | |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-08-15 |