| NPI | 1386649119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 5904) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 15904) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2025-02-19 |