| NPI | 1366542623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.022369) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 022369) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-04-19 |