NPI | 1588822845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: OH 35.084180) |
Additional Taxonomies | 208800000X Urology (Licence: NY 238303-1) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2009-01-02 |