| NPI | 1205944238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01043895A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD30961) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2026-08-28 |