| NPI | 1508204454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01085826A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.062756) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2022-07-18 |