| NPI | 1720297013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD50414) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 50414) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-21 |