| NPI | 1245378124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: TX K9836) |
| Additional Taxonomies | 208800000X Urology (Licence: TX K9836) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2024-07-31 |