| NPI | 1104806231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 46132) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 46132) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-21 |