| NPI | 1689871543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN MD48596) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 76624) |
| 207V00000X Obstetrics & Gynecology (Licence: TN MD48596) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-03-23 |