| NPI | 1144387705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX J5096) |
| Additional Taxonomies | 2088P0231X Urology Pediatric Urology (Licence: TX J5096) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-05-19 |