| NPI | 1225096621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01078796A) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2005019860) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-03-17 |