| NPI | 1386639565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 01050870A) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2024-11-04 |