| NPI | 1194777060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ID M-7605) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 5188-320) |
| 208800000X Urology (Licence: IN 01094248A) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-12-30 |