| NPI | 1720153919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01043537A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01043537) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01043537A) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2025-01-09 |