| NPI | 1093844086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-5219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 19407) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-05-31 |