| NPI | 1487979951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OH 35.149791) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301114274) |
| 2088P0231X Urology, Pediatric Urology (Licence: MI 4301114274) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2024-06-07 |