| NPI | 1487182937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA R-10846) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01090017A) |
| 208600000X Surgery (Licence: IA R-10846) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-04-19 |