| NPI | 1518133792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 02005220A) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101019268) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2023-02-24 |