| NPI | 1235428772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 1235428772) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL DO1372) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-08-06 |