| NPI | 1093759573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 13227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 8194) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |