| NPI | 1447257415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 32768) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01090003A) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2024-09-09 |