NPI | 1639178551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: PA MD041200E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD041200E) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2011-05-31 |