| NPI | 1417369604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01082079A) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MT206783) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2021-01-28 |