| NPI | 1851617732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 53076) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01082597A) |
| 208800000X Urology (Licence: OR MD181923) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2019-09-26 |