| NPI | 1427528546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 20344) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 20344) |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |