| NPI | 1689780777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 3743) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-11084) |
| 207V00000X Obstetrics & Gynecology (Licence: TX K9236) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS16017) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-11-01 |