| NPI | 1699888008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD55106) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 21971) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-06-22 |