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