| NPI | 1922298066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NY 257056) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: MA 233198) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-06-21 |