| NPI | 1871703645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: SC 10114) |
| Additional Taxonomies | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: GA 026148) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |