| NPI | 1407810625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C55594) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01059064A) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-10-21 |