| NPI | 1578097952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01098666A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036159169) |
| 208800000X Urology (Licence: WI 101568) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2026-07-23 |