NPI | 1760434922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: MO 2011004348) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: MO 2011004348) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2011-03-01 |