NPI | 1710147541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NH 16679) |
Additional Taxonomies | 208600000X Surgery (Licence: NY AB 1876296x05) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2023-04-18 |