| NPI | 1902856990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD17566) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN MD17566) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-11-11 |