| NPI | 1912223371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01089336A) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 000) |
| 208800000X Urology (Licence: OR MD176572) | |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2023-03-02 |