| NPI | 1548674971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 01079764A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2014018365) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-07-08 |