NPI | 1750688735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MD D93287) |
Additional Taxonomies | 208800000X Urology (Licence: GA 82208) |
208800000X Urology (Licence: VA 0101272890) | |
Enumeration Date | 2011-02-28 |
Last Update Date | 2024-02-20 |