| NPI | 1194999086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH 16609) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 127799) |
| 208800000X Urology (Licence: MI 4301097580) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2022-04-20 |