| NPI | 1356722698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01083970A) |
| Additional Taxonomies | 208800000X Urology (Licence: SC LL38433) |
| 208800000X Urology (Licence: NC 2021-02824) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-10-04 |