| NPI | 1700960812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: TN MD27332) |
| Additional Taxonomies | 208800000X Urology (Licence: TN MD27332) |
| 2088P0231X (Licence: TN 27332) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-04-04 |