| NPI | 1578527891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01067902A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35064578M) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-09-01 |