NPI | 1851648521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MD D76780) |
Additional Taxonomies | 208800000X Urology (Licence: MI 4301109161) |
208800000X Urology (Licence: NY 60267077) | |
Enumeration Date | 2012-08-12 |
Last Update Date | 2023-07-13 |