NPI | 1639162340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: KY 02686) |
Additional Taxonomies | 208800000X Urology (Licence: NC 200802054) |
208800000X Urology (Licence: VA 0102201274) | |
Enumeration Date | 2005-08-27 |
Last Update Date | 2022-01-20 |