| NPI | 1144604398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.143729) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01083868A) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-01-31 |