| NPI | 1134236557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01034844A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 36065200) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-03-14 |