| NPI | 1982021317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 02005691A) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125065073) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-06-20 |