| NPI | 1639356645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI MD-15157) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 134224) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A100247) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2018-08-01 |