| NPI | 1679663165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: AR N-7879) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AR N-7879) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-31 |