| NPI | 1942319850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 49477) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 22723) |
| 208800000X Urology (Licence: IN 01074322A) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-04-18 |