| NPI | 1457353575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI JC062758) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01044745A) |
| 207V00000X Obstetrics & Gynecology (Licence: ND 6766) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-08-12 |