| NPI | 1699760488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 12411) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD20444) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2019-04-01 |