| NPI | 1295979474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 02006859A) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101017835) |
| 208800000X Urology (Licence: KY 3622) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2026-06-30 |