| NPI | 1003843582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-10481) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 39144) |
| 207V00000X Obstetrics & Gynecology (Licence: TX G8876) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-04-01 |