| NPI | 1326120783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: FL ME171562) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: DE C1-0026077) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-09-10 |