| NPI | 1326218017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX N7645) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01057789A) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2026-03-10 |