NPI | 1982682084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0101036358) |
Additional Taxonomies | 208800000X Urology (Licence: DE C1-0012755) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2020-12-29 |