| NPI | 1124118617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E-4083) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AR E-4083) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-31 |