| NPI | 1831488329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01082251A) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA10042200) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-06-25 |