| NPI | 1881648251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-3893) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M3893) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-11-10 |