NPI | 1639391055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MO 2010021885) |
Additional Taxonomies | 208800000X Urology (Licence: KS 04-34458) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2021-04-12 |