| NPI | 1437114824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01071979A) |
| Additional Taxonomies | 208800000X Urology (Licence: LA 023873) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-05-21 |