| NPI | 1235385964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301112722) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01065818A) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-07-21 |