| NPI | 1295750289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: ID M-11994) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01051332A) |
| 208800000X Urology (Licence: MS 19925) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-09-09 |