NPI | 1740644145 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NY 328552) |
Additional Taxonomies | 208800000X Urology (Licence: PA MT210872) |
2088P0231X Urology, Pediatric Urology (Licence: DC MD210002642) | |
Enumeration Date | 2016-04-12 |
Last Update Date | 2025-02-17 |