| NPI | 1407845795 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01041570)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01041570)  | 
| Enumeration Date | 2005-10-19 | 
| Last Update Date | 2025-10-08 |