NPI | 1922426071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MD D94174) |
Additional Taxonomies | 208800000X Urology (Licence: VA 0101266390) |
282N00000X General Acute Care Hospital | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2023-07-28 |