| NPI | 1114185394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01100336A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.128008) |
| 208800000X Urology (Licence: IL 036-144237) | |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2026-07-30 |