| NPI | 1457428724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MA 250437) |
| Additional Taxonomies | 208800000X Urology (Licence: MA 215212) |
| 208800000X Urology (Licence: IN 01052414A) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-02-11 |