| NPI | 1568487627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 61647) |
| Additional Taxonomies | 208800000X Urology (Licence: AR E-8938) |
| 208800000X Urology (Licence: AZ 51180) | |
| 208800000X Urology (Licence: NC 24468) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-07-21 |