| NPI | 1114982956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 21700) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 21700) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 21700) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-05-31 |