| NPI | 1093752701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 022020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 43902) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-08-13 |