| NPI | 1194706838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2007-00855) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35-060154G) |
| 208800000X Urology (Licence: IN 01043533A) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-10-27 |