NPI | 1679544365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MD D0091343) |
Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA06345000) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2025-03-12 |