| NPI | 1679594881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL MD.36501) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 29140) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TN MD029140) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-05-29 |