| NPI | 1639467517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 02004782A) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101019480) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2016-06-02 |