| NPI | 1669679262 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E5659) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-5659) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-03-07 |