NPI | 1710995295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: ID 7161277) |
Additional Taxonomies | 208800000X Urology (Licence: OR MD25800) |
208800000X Urology (Licence: WA MD00048852) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2024-10-11 |