| NPI | 1598786725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME125251) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 70357) |
| 208800000X Urology (Licence: IN 01058611A) | |
| 208800000X Urology (Licence: MO 2500020935) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-11-14 |