| NPI | 1023032083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD0000020625) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 20625) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-07-26 |