| NPI | 1861435554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01072504A) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 32567) |
| 208800000X Urology (Licence: OH 35049990) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-10-17 |