| NPI | 1629048780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 045529) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01058280A) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-10-11 |