| NPI | 1659509065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01079255A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 29080) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2018-06-16 |