| NPI | 1710959077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 11216) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NH 11216) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-02-02 |