NPI | 1912937657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MN 52477) |
Additional Taxonomies | 208800000X Urology (Licence: IA 34277) |
208800000X Urology (Licence: CA A90367) | |
208800000X Urology (Licence: PA MD-057761-L) | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2022-04-18 |