| NPI | 1235143025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 2143) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 34.008615) |
| 208800000X Urology (Licence: IL 036-106625) | |
| 2088P0231X Urology, Pediatric Urology (Licence: TN DO0000002143) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-02-21 |