| NPI | 1225133846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX P7138) |
| Additional Taxonomies | 208800000X Urology (Licence: CA G83920) |
| 208800000X Urology (Licence: TX P7138) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-07-16 |