| NPI | 1679531578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 7601) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 07601) |
| 208800000X Urology (Licence: MS 11876) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2015-05-29 |