| NPI | 1629200852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R3075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01073371A) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2019-09-24 |