| NPI | 1841307667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 81427) |
| Additional Taxonomies | 208800000X Urology (Licence: WA ML20007699) |
| 208800000X Urology (Licence: IN 01066307A) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-05-23 |