| NPI | 1013912096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 3556689) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01092429A) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-01-31 |