| NPI | 1902423734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01096912A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 264790) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2025-06-27 |