| NPI | 1659393833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MH 4301032177) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI DHO32177) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-01-14 |