| NPI | 1164492740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02003730A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 383) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2017-11-30 |