| NPI | 1578657359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 247289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 00020225) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-08-05 |