| NPI | 1720007099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH EL09256) |
| Additional Taxonomies | 208800000X Urology (Licence: NH LT4309) |
| 208800000X Urology (Licence: NC 200000981) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-06-16 |