| NPI | 1407846165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301048968) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI SR048968) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-12-10 |