| NPI | 1639340599 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-10904) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102202972) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 238884) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2024-10-02 |