| NPI | 1033462239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01073892A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036162908) |
| 208800000X Urology (Licence: MI 4301508621) | |
| 208800000X Urology (Licence: OH 35.147072) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-11-30 |