| NPI | 1891093456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01075117a) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.016731) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2015-06-12 |