| NPI | 1083001978 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208800000X Urology (Licence: IN 01087604A) | 
| Additional Taxonomies | 208800000X Urology (Licence: KY 55691) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-19 | 
| Last Update Date | 2025-03-07 |