| NPI | 1053571414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 17171) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD H0075851) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-02-17 |