| NPI | 1215900303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60194935) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01053155A) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-11-12 |