NPI | 1821244377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: OH 35.095967) |
Additional Taxonomies | 208800000X Urology (Licence: LA 205660) |
2088P0231X Urology, Pediatric Urology (Licence: OH 35095967) | |
Enumeration Date | 2008-08-15 |
Last Update Date | 2019-02-21 |