NPI | 1609868983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MD D0054719) |
Additional Taxonomies | 208800000X Urology (Licence: DC MD31646) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2020-04-14 |