| NPI | 1851435598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A11368) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02003281A) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-01-24 |