| NPI | 1013980697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME160709) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01055523A) |
| 208800000X Urology (Licence: MI 4301077717) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2025-08-18 |