| NPI | 1003964784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01082842A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301051609) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301051609) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-05-10 |