| NPI | 1720151640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01084889A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301064604) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-11-09 |