| NPI | 1013958370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 35276) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CO DR.0035276) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-06-22 |