| NPI | 1093001133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX T2164) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 4747) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-06-28 |