| NPI | 1578532479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01083930A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35069773T) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-11-27 |