| NPI | 1336171511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 19852) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 77232) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-03-27 |