| NPI | 1164871158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX U3028) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018895A) |
| 208800000X Urology (Licence: IN 01086000A) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-09-18 |