| NPI | 1245316637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD011103) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR R3349) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-12-06 |