| NPI | 1679860894 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01081421A) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01081421A) | 
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2015043927) | |
| Enumeration Date | 2011-07-08 | 
| Last Update Date | 2023-11-27 |