NPI | 1346313210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA G45902) |
Additional Taxonomies | 208800000X Urology (Licence: CA G45902) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2025-09-11 |