| NPI | 1427294099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NY 259568) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD037609) |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2011-05-19 |