| NPI | 1881828010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-12168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD29170) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD-29170) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2014-12-09 |