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 |