| NPI | 1487746038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01042429A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35058527) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-04-20 |