| NPI | 1558539874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01064639A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35090646) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2017-01-17 |