| NPI | 1902015217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01096372A) |
| Additional Taxonomies | 208800000X Urology (Licence: NH 3521) |
| 208800000X Urology (Licence: WI 3062) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-07-23 |