| NPI | 1053874800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01093147A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: MI 4301518044) | |
| 208800000X Urology (Licence: GA 114338) | |
| 208800000X Urology (Licence: IN 010931478A) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2026-08-27 |