| NPI | 1346236874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01028947A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 31793) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-07-23 |