| NPI | 1992724595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MO 2018010765) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: TX N6582) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-01-15 |