| NPI | 1639145840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 45401) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-06-6143) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2026-07-14 |