| NPI | 1679787261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 071127) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 44187) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-04-22 |