| NPI | 1902048630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN MD51429) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 7771286-1205) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2021-11-10 |