NPI | 1497873202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OH 35087830) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: OH 35087830) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2016-09-07 |