NPI | 1851399414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OH 35043064P) |
Additional Taxonomies | 208800000X Urology (Licence: OH 35-043064) |
208800000X Urology (Licence: OH 35043064) | |
Enumeration Date | 2005-07-08 |
Last Update Date | 2014-03-17 |