| NPI | 1760646228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01076740A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 24332) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-01-04 |