NPI | 1952518979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MD D70812) |
Additional Taxonomies | 208800000X Urology (Licence: MD D0070812) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2012-12-18 |