| NPI | 1316333610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD211959) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 59812) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-02-26 |