NPI | 1659691053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: PA MD475728) |
Additional Taxonomies | 208800000X Urology (Licence: KY 46363) |
208800000X Urology (Licence: KY FL035) | |
2088P0231X (Licence: KY FL035) | |
2088P0231X (Licence: KY 46363) | |
Enumeration Date | 2010-06-08 |
Last Update Date | 2021-12-08 |