NPI | 1821041476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: GA 052226) |
Additional Taxonomies | 208800000X Urology (Licence: AL 26713) |
208800000X Urology (Licence: NC 2010-01013) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2017-03-16 |