NPI | 1730274689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: WA MD60056506) |
Additional Taxonomies | 208800000X Urology (Licence: CA A95892) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2009-01-20 |