| NPI | 1780670364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 7161) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD40254) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2016-12-02 |