| NPI | 1255549812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01067752A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 37108) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01067752A) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT181806) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-05-20 |