| NPI | 1922398742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: AZ 33858) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: CA c-19999) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |