| NPI | 1487117842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301515401) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ R77341) |
| 208800000X Urology (Licence: IN 01094023A) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-10-02 |