| NPI | 1487694790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E4442) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E4442) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-07-08 |