| NPI | 1669412656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01068917A) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101238981) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-01-19 |