| NPI | 1033130018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD0000029147) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 29147) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-06-16 |