NPI | 1609211366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA A136524) |
Additional Taxonomies | 208800000X Urology (Licence: CA A136524) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2024-03-13 |