| NPI | 1477654325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 3899) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-8732) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-06-24 |