| NPI | 1679812531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI MD-22923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2020-0672) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2022-10-15 |