NPI | 1912382417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL MFC1770) |
Additional Taxonomies | 208800000X Urology (Licence: FL TRN21285) |
Enumeration Date | 2015-07-25 |
Last Update Date | 2017-05-25 |