| NPI | 1073792388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 28408) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 063938) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2024-07-10 |