| NPI | 1114246618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301095994) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01075270A) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2020-02-21 |