| NPI | 1588613830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 013237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 013237) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2012-01-19 |