NPI | 1841241387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MO 2000158331) |
Additional Taxonomies | 208800000X Urology (Licence: KS 0432487) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-04-12 |