| NPI | 1922035922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01090667A) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD00028793) |
| 208800000X Urology (Licence: OH 35C.001452) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-09-11 |