| NPI | 1952351710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ID M4660) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ID M4660) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-11-22 |