| NPI | 1194847871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 41426) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01064174A) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-02-06 |