NPI | 1629009089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: FL ME0082623) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME0082623) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2015-09-29 |