| NPI | 1124036280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2022018097) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-35015) |
| 207V00000X Obstetrics & Gynecology (Licence: AR e-15436) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD28105) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD432516) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-08-22 |