| NPI | 1134229057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-51700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101046660) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-09-05 |