| NPI | 1992142814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 54349) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01085036A) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2024-03-04 |