| NPI | 1134410582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01086587A) |
| Additional Taxonomies | 208800000X Urology (Licence: NH EL11919) |
| 208800000X Urology (Licence: NH 17726) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-10-14 |