| NPI | 1598729204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI 1074) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2012012477) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-03-09 |