NPI | 1750644860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: TX V2192) |
Additional Taxonomies | 208800000X Urology (Licence: HI MD17615) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD468490) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2025-05-22 |