| NPI | 1891177051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01085981A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125067811) |
| 208800000X Urology (Licence: IL 036152414) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-08-03 |