| NPI | 1487069696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 010863088A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.064954) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-01-19 |