| NPI | 1285195750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35148496) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 11022507A) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-06-13 |