| NPI | 1548281397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: GA 054434) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01091834A) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-11-07 |