| NPI | 1679616924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01056783A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01056783A) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-06-07 |