NPI | 1942307467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MO 2015031997) |
Additional Taxonomies | 208800000X Urology (Licence: FL ME96501) |
208800000X Urology (Licence: MN 51361) | |
Enumeration Date | 2006-09-19 |
Last Update Date | 2016-01-20 |