| NPI | 1548619596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02005942A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101022418) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-09-07 |