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 |