| NPI | 1770744369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OH 35.099258) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.099258) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-09-06 |