| NPI | 1295840510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TN 010710) |
| Additional Taxonomies | 208800000X Urology (Licence: MS 08478) |
| 208800000X Urology (Licence: AR R-3766) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-01-06 |