| NPI | 1336411610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02004986A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036136056) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2019-07-31 |