| NPI | 1932543469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02006453A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020668) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2023-10-12 |