| NPI | 1265401020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 21321) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 21321) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 21321) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-07-21 |