| NPI | 1306849849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TN 54699) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: CT 33144) |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2023-04-05 |