| NPI | 1447897442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28182829A) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: IN 28182829A) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2025-04-16 |