| NPI | 1841381134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: DE C10004313) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: NJ 25MA0692900) |
| 208800000X Urology (Licence: DE C10004313) | |
| 2088P0231X Urology, Pediatric Urology (Licence: FL ME130543) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-10-02 |