NPI | 1396922670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA A82288) |
Additional Taxonomies | 208800000X Urology (Licence: CA A82288) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2012-10-30 |