| NPI | 1639606270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02006345A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017952) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2022-02-21 |