| NPI | 1962512699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301085171) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01092518A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-08-08 |