| NPI | 1396130613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 5095) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 1630) |
| 207V00000X Obstetrics & Gynecology (Licence: ME LT22012) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR DO213625) | |
| 207V00000X Obstetrics & Gynecology (Licence: ME DO3503) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-04-26 |