NPI | 1841306925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: OR MD11245) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD00034645) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-08 |