| NPI | 1598790024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-15890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 27305) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-09-13 |