| NPI | 1942249107 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02005766A)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101013347)  | 
| Enumeration Date | 2006-06-05 | 
| Last Update Date | 2022-08-02 |