| NPI | 1740471275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0052374) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01061241A) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2021-06-21 |