| NPI | 1194797555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01091543A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-03475) |
| 207V00000X Obstetrics & Gynecology (Licence: NV 8287) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-09-29 |