| NPI | 1194700179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301507027) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO 42372) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01033871A) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC MD34150) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2025-01-24 |