NPI | 1770771743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MS 20158) |
Additional Taxonomies | 208800000X Urology (Licence: KS 04-34962) |
208800000X Urology (Licence: MO 2011010495) | |
208800000X Urology (Licence: MS T-1890) | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2019-07-11 |