NPI | 1639344534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD60019018) |
Additional Taxonomies | 208800000X Urology (Licence: IL 125-044725) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2013-06-25 |