| NPI | 1275610271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY C4699) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01079580A) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 36264) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-11-06 |