| NPI | 1477534808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 59904) |
| Additional Taxonomies | 208800000X Urology (Licence: TX W3402) |
| 174400000X Specialist (Licence: GA 027624) | |
| 208800000X Urology (Licence: IN 01094591B) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2026-02-20 |