NPI | 1811157100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NM MD2010-0319) |
Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA08386700) |
174400000X Specialist (Licence: NM MD2010-0319) | |
Enumeration Date | 2008-06-11 |
Last Update Date | 2022-07-21 |