| NPI | 1467018457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KY 59061) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01092372A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2025-02-10 |