| NPI | 1518453448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 131999) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101024121) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 02007403A) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR DO217923) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-12-26 |