| NPI | 1750546024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME113480) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS T-2137) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2023-06-23 |