NPI | 1629392352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MI 4301101038) |
Additional Taxonomies | 208800000X Urology (Licence: NM MD2011-0421) |
208800000X Urology (Licence: IL 036128545) | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2014-01-09 |