| NPI | 1316987159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA A80459) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A80459) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-03-09 |