NPI | 1619161007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: UT 12704181-1205) |
Additional Taxonomies | 208800000X Urology (Licence: NE 24825) |
208800000X Urology (Licence: GA 068279) | |
208800000X Urology (Licence: GA 68279) | |
Enumeration Date | 2007-08-29 |
Last Update Date | 2022-07-21 |