| NPI | 1245230515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL Me122922) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01057598B) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-06-28 |