NPI | 1841529757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: CA A120045) |
Additional Taxonomies | 208800000X Urology (Licence: OH 35.094810) |
Enumeration Date | 2009-12-24 |
Last Update Date | 2016-04-01 |