| NPI | 1780949297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 60789) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN MD0000060789) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2024-10-03 |