| NPI | 1821041278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01065141A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD428083) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-01-12 |