NPI | 1861616799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA A109261) |
Additional Taxonomies | 208800000X Urology (Licence: TN AC5611000-5984) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2022-01-25 |