| NPI | 1912957473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01098059A) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2017-02511) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2026-04-15 |