NPI | 1932594132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208800000X Urology (Licence: FL ME152600) |
Enumeration Date | 2015-04-03 |
Last Update Date | 2022-11-02 |