| NPI | 1144225384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 6219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 91-71) |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01037526A) | |
| 207V00000X Obstetrics & Gynecology (Licence: UT 6938716-1205) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 25828) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2009-05-04 |