| NPI | 1043666191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.142317) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01090971A) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2024-03-14 |