| NPI | 1780909184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 0443134) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2020012676) |
| 208800000X Urology (Licence: NE 26476) | |
| 208800000X Urology (Licence: HI MD-23249-0) | |
| 208800000X Urology (Licence: IN 01089852A) | |
| 208800000X Urology (Licence: WA 60664462) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2026-08-14 |