| NPI | 1013125871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01066313A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125044893) |
| 208800000X Urology (Licence: IA 37723) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-01-06 |