NPI | 1740300649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX Q3524) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 227833) |
208800000X Urology (Licence: IL 036.12355) | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-11-20 |