| NPI | 1033207360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 16928) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 74210) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-08-26 |