| NPI | 1831381482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.089054) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01077375A) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2016-08-15 |