| NPI | 1831238427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 43182) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 043182) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-09-28 |