| NPI | 1356564850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR C-7131) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR c-7131) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-02-22 |