| NPI | 1972899086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101273121) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 27877) |
| 207V00000X Obstetrics & Gynecology (Licence: OR PG176945) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-10-30 |