| NPI | 1144580861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 33350) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 1144580861) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2016-12-28 |