| NPI | 1528252186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 51934) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 2131) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2018-10-04 |