| NPI | 1235441858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301097218) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01076390A) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-03-22 |