| NPI | 1841518883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 55530) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NC 2014-00290) |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2022-03-31 |