NPI | 1811154362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA08723600) |
Additional Taxonomies | 208800000X Urology (Licence: PA MD439845) |
208800000X Urology (Licence: NY 237376) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2022-03-04 |