| NPI | 1790739258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101267494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01065484A) |
| 207V00000X Obstetrics & Gynecology (Licence: CA G71945) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-01-28 |