NPI | 1679014518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD61477030) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ R76280) |
208800000X Urology (Licence: AZ 57269) | |
Enumeration Date | 2017-03-11 |
Last Update Date | 2023-11-22 |