| NPI | 1922052950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 52676) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 024718) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-08-08 |