| NPI | 1124005947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 44968) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 13107) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-01-02 |