NPI | 1700115698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: CA 20a4872) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA 20a4872) |
Enumeration Date | 2009-12-23 |
Last Update Date | 2009-12-23 |