NPI | 1629287222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01059) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01073306A) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-10-26 |