NPI | 1861804098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0102207781) |
Additional Taxonomies | 208800000X Urology (Licence: MO 2019012295) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2023-08-30 |