| NPI | 1366441925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD160464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 37327) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-09-02 |