| NPI | 1487763991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TN MD18862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD0000018862) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TN MD0000018862) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-10-14 |