| NPI | 1326213380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX P4291) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01068483A) |
| 208800000X Urology (Licence: KY 43513) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2018-10-25 |