| NPI | 1306017488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01069183A) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101241628) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2022-05-03 |