| NPI | 1134570690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IN 02007536A) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101022797) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2024-01-11 |