| NPI | 1144275413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AR C-7319) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR C7319) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-07-21 |