| NPI | 1386082790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02005155A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020659) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2021-05-13 |