| NPI | 1568439180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01023713A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35038124L) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2011-07-08 |