NPI | 1841381134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X (Licence: DE C10004313) |
Additional Taxonomies | 2088P0231X (Licence: NJ 25MA0692900) |
208800000X Urology (Licence: DE C10004313) | |
2088P0231X (Licence: FL ME130543) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2019-10-02 |