| NPI | 1215221411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: HI MD-16614) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-16614) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-05-31 |