| NPI | 1821438441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 57245) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 36039) |
| 208800000X Urology (Licence: GA 080647) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-08-08 |