| NPI | 1093742132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN md0000018431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN md0000018431) |
| 174400000X Specialist (Licence: TN MD018431) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: TN 0000018431) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 0000018431) | |
| 208D00000X General Practice (Licence: TN 0000018431) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-10-28 |