| NPI | 1417318304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 02006233A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125069080) |
| 208800000X Urology (Licence: LA 305439) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-09-24 |