| NPI | 1710299706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MN 54064) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: KS 04-39904) |
| 2088P0231X Urology, Pediatric Urology (Licence: MO 2017002201) | |
| 2088P0231X Urology, Pediatric Urology (Licence: TX V8469) | |
| 2088P0231X Urology, Pediatric Urology (Licence: CO DR.0055046) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2025-10-22 |