| NPI | 1073715744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME159547) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01070364A) |
| 208800000X Urology (Licence: OH 097271) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-10-03 |