| NPI | 1962060343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA R-11614) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01091644A) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-09-26 |