| NPI | 1730266297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 5998) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: PR 5998) |
| 174400000X Specialist (Licence: PR 5998) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-08-28 |