NPI | 1588225254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TN 70666) |
Additional Taxonomies | 208800000X Urology (Licence: MN 68020) |
208800000X Urology (Licence: MN 29857) | |
Enumeration Date | 2019-06-24 |
Last Update Date | 2024-06-20 |