| NPI | 1053550152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01062792A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 36754-020) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2025-12-24 |