| NPI | 1972504488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 81399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01089636A) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 1999591) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME162114) | |
| 207V00000X Obstetrics & Gynecology (Licence: DE C1-0025884) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09347700) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-12-14 |