| NPI | 1588984090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 31460) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 071960) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2022-07-21 |