| NPI | 1003066580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01072513A) |
| Additional Taxonomies | 208800000X Urology (Licence: CT 051471) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2020-11-23 |