| NPI | 1609961598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 010782) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: GA 010782) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-12-09 |