| NPI | 1922192590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101247842) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 75684) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-07-21 |