| NPI | 1235111295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI MD14245) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07349100) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 051684) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-08-06 |