| NPI | 1821030925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: TN 53391) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01069264A) |
| 208800000X Urology (Licence: KY 44488) | |
| 208800000X Urology (Licence: TX L2792) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-09-30 |