| NPI | 1255569455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q9639) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 010169171A) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-03-01 |