| NPI | 1154317675 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01051016A) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01051016A) | 
| Enumeration Date | 2005-09-20 | 
| Last Update Date | 2025-10-16 |