NPI | 1891841334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OR MD152450) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD60170081) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-02-04 |