| NPI | 1871025676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: AR E-17951) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-17951) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-09-12 |