| NPI | 1982054136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01094061A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME146628) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-06-20 |