NPI | 1982018776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MO 2020013463) |
Additional Taxonomies | 208800000X Urology (Licence: KS 04-43324) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2023-02-07 |