| NPI | 1356537088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD22073) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS T-1732) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2025-03-20 |