| NPI | 1124269055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01073785A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35125593) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2024-10-02 |