| NPI | 1568769180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS13171) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IN 02005234A) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-10-11 |