| NPI | 1073714549 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01075003A) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 050379) | 
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 050379) | |
| Enumeration Date | 2007-05-30 | 
| Last Update Date | 2025-10-02 |