| NPI | 1235440090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 290265) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 11015533A) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2019-04-18 |