NPI | 1497216048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: IL 125.073969) |
Additional Taxonomies | 208800000X Urology (Licence: IN 01096915A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2025-07-23 |