| NPI | 1598898751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 44533) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 95280) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2025-09-15 |