| NPI | 1386740249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 17717) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA GA17717) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-06-03 |