| NPI | 1831117522 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01032453B) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01032453B) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-01-23 |