| NPI | 1093742439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 049469) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 046469) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-09-18 |