NPI | 1760687388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: UT 8217924-1205) |
Additional Taxonomies | 208800000X Urology (Licence: FL TRN10997) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2012-06-27 |