| NPI | 1326150079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH LT4283) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD430490) |
| 208800000X Urology (Licence: IN 01067218A) | |
| 208800000X Urology (Licence: NY 153788) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-10-31 |