| NPI | 1679573620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01071412A) |
| Additional Taxonomies | 208800000X Urology (Licence: TN MS0000037426) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-12-13 |