| NPI | 1215932173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01033673) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IN 01033673) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-01-14 |