| NPI | 1659380939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301095939) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01089840A) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-10-31 |