NPI | 1982741252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CO 44743) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR-44743) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2023-05-25 |