| NPI | 1497705891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 235209) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 45090) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01074892A) | |
| 207Q00000X Family Medicine (Licence: IN 01074892A) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-12-23 |