| NPI | 1851530356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA DO-04672) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT AS23832780684) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036218330) | |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2015-03-04 |