NPI | 1649354044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: FL ME120545) |
Additional Taxonomies | 208800000X Urology (Licence: PA MD065637L) |
208800000X Urology (Licence: FL ME120545) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2021-11-12 |