| NPI | 1376960302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME178145) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01083976A) |
| 208800000X Urology (Licence: IL 036.145170) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2026-05-18 |