| NPI | 1780764290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 22162) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA ga-055033) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 47823) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-05-12 |