| NPI | 1164751525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OK 33186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01067781B) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2024-02-13 |