| NPI | 1194707117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01065587A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301084601) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-07-19 |