| NPI | 1326034745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01046363A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-133887) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-03-13 |