| NPI | 1013026830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 19957) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 19957) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-03-07 |