| NPI | 1336107978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 47375) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01083816A) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-03-01 |