| NPI | 1437239571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MO 2013019652) |
| Additional Taxonomies | 208800000X Urology (Licence: CA 000000G84789) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-02-17 |