| NPI | 1912978255 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E3732) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 17613) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-12-19 |