| NPI | 1962588574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01079670A) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 15528) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: IN 01079670A) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-11-08 |