| NPI | 1356510077 |
|---|---|
| Former Name | SUBBARAO MANDALAPU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX 10058433) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 57.014133) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2018-03-17 |