| NPI | 1861472201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-02952) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01079057A) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 047250) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2022-04-01 |