| NPI | 1831295807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 12119) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 26650) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-02-02 |