| NPI | 1346501020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-9844) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E9044) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10044899) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2019-12-23 |