| NPI | 1003028762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA md.204270) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 45438) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-6247) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-01-24 |