| NPI | 1720074149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IN 01028671A) |
| Additional Taxonomies | 208800000X Urology (Licence: IN 01028671A) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-08-11 |