| NPI | 1275574329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 42629) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01097981A) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2026-04-30 |