| NPI | 1396896627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD428035) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01033889A) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2026-01-21 |