| NPI | 1396897971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 33647) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 253094) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-10-17 |