NPI | 1639274087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NY 134016) |
Additional Taxonomies | 208800000X Urology (Licence: MN 47566) |
208800000X Urology (Licence: MS 20355) | |
208800000X Urology (Licence: AZ 36460) | |
Enumeration Date | 2006-09-13 |
Last Update Date | 2016-03-02 |