| NPI | 1306896162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN DO1498) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN DO1498) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-10-11 |