NPI | 1699718809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: UT 6602968-1205) |
Additional Taxonomies | 208800000X Urology (Licence: WI 46318) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2024-10-02 |