| NPI | 1114005402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01054787A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01054787A) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-10-08 |