| NPI | 1144200270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301030781) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01094465A) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2025-10-21 |