NPI | 1730530502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NC 2020-04205) |
Additional Taxonomies | 208800000X Urology (Licence: SC LL39777) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2023-03-20 |