NPI | 1255488078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NE 30332) |
Additional Taxonomies | 208800000X Urology (Licence: NE 30332) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2018-05-15 |