| NPI | 1013985316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35053503B) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01032173A) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2021-05-12 |