| NPI | 1245328012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 43432) |
| Additional Taxonomies | 208800000X Urology (Licence: SC LL28010) |
| 208800000X Urology (Licence: IN 01067867A) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-04-30 |