| NPI | 1750646691 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IN 01072466A) | 
| Additional Taxonomies | 208800000X Urology (Licence: IN 01072466A) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016534A) | |
| Enumeration Date | 2012-07-06 | 
| Last Update Date | 2025-03-12 |