| NPI | 1346248671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 67750) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR C 5444) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-06-12 |