| NPI | 1689816720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CO DR.0060037) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2017016678) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2018-09-08 |