NPI | 1811280373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: FL ME125306) |
Additional Taxonomies | 208600000X Surgery (Licence: TX 0041214) |
Enumeration Date | 2011-05-17 |
Last Update Date | 2017-02-09 |