| NPI | 1932160983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD53759) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME006227) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2022-03-16 |