| NPI | 1174544514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IN 01077457A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 35408) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-05-22 |