| NPI | 1003828179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: GA 034246) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 034246) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-03-07 |