| NPI | 1871562389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2009014176) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02002025A) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-03-09 |