| NPI | 1447346937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NW0100X General Acute Care Hospital, Women |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 49649) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-01-21 |