| NPI | 1073570156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E1082) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 17284) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-08-28 |