| NPI | 1881693703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 31902) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01044879a) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-08 |