| NPI | 1124003546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS8957) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IN 02008625A) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2025-09-19 |