| NPI | 1871699652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35091926) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 23460) |
| 208800000X Urology (Licence: IN 01080881A) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-10-09 |