| NPI | 1356795280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01085184A) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME133298) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-10-21 |