| NPI | 1891750568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 102803) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01076617A) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-086531) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-03-17 |