NPI | 1598743692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101057382) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0101057382) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2016-03-15 |