NPI | 1609020130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 302748) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP10032207) |
208800000X Urology (Licence: TX BP10032207) | |
Enumeration Date | 2008-11-11 |
Last Update Date | 2021-11-11 |