| NPI | 1346441706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 2250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL DO1010) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-09-28 |