| NPI | 1609880194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 7342) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 00007342) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-03-07 |