| NPI | 1184063182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E-10510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-10510) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2023-09-25 |