| NPI | 1427285493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH 17016) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2014012502) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2023-04-05 |