| NPI | 1124314398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01076510A) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 4055) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-04-20 |