| NPI | 1023031507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 61519) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 5172031205) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 17731) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-09-22 |