| NPI | 1104834993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01038146A) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01038146A) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-01-14 |