| NPI | 1285998153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IN 01019742a) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: IN 01019742a) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |