| NPI | 1548248206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-16242) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 4166) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2026-08-03 |