| NPI | 1043892581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-20515) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 621854358) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2026-06-02 |