| NPI | 1740416262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: SC 92071) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01082048A) |
| 208800000X Urology (Licence: VA 0101265710) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2024-06-19 |