| NPI | 1942564323 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01077250A) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS T2583) | 
| Enumeration Date | 2012-06-29 | 
| Last Update Date | 2025-10-16 |