| NPI | 1861615627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 42343) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 25724) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-12-13 |