| NPI | 1538485271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 23126) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 51154) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2020-01-23 |