| NPI | 1578673919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN BS5820457) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 30219) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-03-25 |