| NPI | 1376516732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L6850) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01091937A) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2026-05-11 |