| NPI | 1912993320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: WA MD60932505) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01045572A) |
| 2088P0231X (Licence: IN 01045572A) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2023-10-04 |