| NPI | 1033146196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: KS 05-31494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0531494) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2014-10-13 |