| NPI | 1447344775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: VT 0420011293) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: NY 255644) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-04-14 |