| NPI | 1104937044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01045244A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 36094330) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-03-14 |