NPI | 1922156181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101267017) |
Additional Taxonomies | 208800000X Urology (Licence: NC 2011-00424) |
Enumeration Date | 2007-01-06 |
Last Update Date | 2023-07-17 |