| NPI | 1750347860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI MD-14873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A78356) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 057703) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-02-13 |