| NPI | 1821292616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301098339) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01065967A) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-12-07 |