| NPI | 1205803608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN MD25742) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 25742) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-03-30 |