| NPI | 1023195310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD176328) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 204792) |
| 207V00000X Obstetrics & Gynecology (Licence: TX P1813) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01074849A) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-12-20 |