NPI | 1366647943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MA 239105) |
Additional Taxonomies | 208800000X Urology (Licence: MA 239105) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2013-05-13 |