| NPI | 1255560595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: AL 35045) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01086725A) |
| 2088P0231X Urology, Pediatric Urology (Licence: IN 01086725A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2009017783) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-03-06 |