NPI | 1720761208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA A188417) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: CA A188417) |
Enumeration Date | 2023-08-10 |
Last Update Date | 2023-08-10 |